Greenbelt Anesthesia Assoc Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

231449 Issued in TX

Legal business name

GREENBELT ANESTHESIA ASSOC INC

Practice address

7451 Chapel Ave
Fort Worth, TX 76116-7090

Phone

(817) 294-7444

NPI assigned

Oct 24, 2006

Last updated

Jan 10, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Offutt

Title

President

Phone

(817) 294-7444

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1932283322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761132626",
            "telephone_number": "817-294-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 CHAPEL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167090",
            "telephone_number": "817-294-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBELT ANESTHESIA ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "OFFUTT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-294-7444"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "231449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126053103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shantel Green
• Thom L Green, RPH
• Tiffany Green, M.ED, NCC, LPC
• Tina J Green, SLP
• Mylie Greenbach, MS, LPC, RPT, NCC
• Greenbriar Prime Management (Heritage Square)
• Greenbriar Prime Management, LLC. (Greenbriar Mansion)
• Christina Greene, DDS
• Douglas E Greene, MD
• Julie Beth Greene, D.O.

• Certified Registered Nurse Anesthetist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.